Circumcision
Circumcision
Circumcision
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<strong>Circumcision</strong><br />
Oakland and Richmond Urology
Reasons for <strong>Circumcision</strong><br />
Tight foreskin that will not retract –<br />
<br />
(Kaiser covered)<br />
“Phimosis Phimosis”<br />
Recurrent infections ( “Balanitis Balanitis”) ) despite good hygiene and<br />
treatment with topical antifungal creams<br />
<br />
(Kaiser covered)<br />
Family, Religious or Culture Reasons<br />
<br />
( not Kaiser covered, self paid)<br />
Phimosis
What is a <strong>Circumcision</strong>?<br />
A Skin Operation:<br />
<br />
<br />
circumcision involves removing the foreskin on the<br />
penis.<br />
The foreskin is the sleeve-like sleeve like skin that covers the<br />
head of the penis<br />
foreskin
How is a <strong>Circumcision</strong> done?<br />
The sleeve-like sleeve like foreskin is excised under anesthesia<br />
Stitches are placed to sew together the inner and outer<br />
ends of the remaining penis skin and collar of<br />
remaining foreskin.<br />
Stitches<br />
Remaining collar of<br />
old foreskin<br />
Sleeve of foreskin removed
What kind of Anesthesia is Used?<br />
<br />
<br />
Children : General Anesthesia<br />
Teens and Adults:<br />
<br />
<br />
Local Anesthesia alone( Lidocaine<br />
<br />
like dental work<br />
injection) –<br />
Local Anesthesia and intravenous sedation
How Long Does <strong>Circumcision</strong> Take?<br />
<br />
<br />
The surgery alone takes about 30 minutes or so<br />
in most cases.<br />
The whole process of pre-surgery pre surgery registration<br />
and preparation, surgery, anesthesia and<br />
recovery from sedation or anesthesia can add up<br />
to more than 4 hours
When Can I Remove the Dressings?<br />
<br />
<br />
If the dressings ( gauze) gets dirty,<br />
soiled or wet, remove then right away<br />
and replace with a new one<br />
After 24-48 24 48 hours after surgery you<br />
do not need a dressing.<br />
<br />
<br />
<br />
A gauze may be desirable to decrease<br />
discomfort and catch small spotting of<br />
blood<br />
An Athletic Supporter can be helpful to<br />
hold the dressings/gauze.<br />
Vasoline<br />
or antibiotic ointment may be<br />
helpful to keep gauze from sticking to<br />
the sutured area
When Can I Bathe?<br />
You can take a shower 1-2 1 2 days after the surgery<br />
You may take a bath 1 week after surgery<br />
<br />
Bathing in the tub may help the healing go faster and<br />
the stitches go away sooner!
What is the Recovery ?<br />
Rest is recommended for a few days.<br />
<br />
Longer if bleeding or infection is a problem<br />
Work and routine activities can resume within 1<br />
week<br />
No sexual activities for at least 6 weeks<br />
<br />
Your surgeon should tell you when it is OK to resume<br />
normal sexual activities<br />
No – you won’t need crutches!
What Will I Experience After<br />
<strong>Circumcision</strong>?<br />
Your surgery will have whisker-like whisker like stitches<br />
<br />
Using Vasoline<br />
or antibacterial ointment may help<br />
keeping stitches from sticking to dressings or<br />
underwear<br />
Your will be a little swollen<br />
<br />
<br />
Swelling and flattening of the skin takes a few<br />
months or more<br />
“Train Train tracks” tracks and thickening of the sutured area is<br />
normal right after surgery<br />
You may feel sensitive or sore<br />
<br />
Sensitivity improves over several weeks in most<br />
cases
What Will I Experience After<br />
<strong>Circumcision</strong>?<br />
You may see spot of blood on dressings<br />
<br />
<br />
Spotting isn’t isn t worrisome.<br />
If bleeding is alarming – apply First Aide.<br />
Pressure for 10 minutes by the clock<br />
If bleeding does not stop, call your Urologist<br />
You may have some black and blue<br />
discoloration<br />
of the penis skin<br />
<br />
A little bleeding occurs during and after surgery. This<br />
causes harmless discoloration.<br />
The head of the penis may have raw areas<br />
<br />
If the foreskin was adherent to the head of the penis,<br />
raw areas may take time to heal. They always do.
What about the Stitches?<br />
They dissolve on their own<br />
over a matter of<br />
about 1-2 1 2 months<br />
They do not need to be removed!
What about the Stitches?<br />
I see like drops of pus<br />
coming from some<br />
stitches. Is this an infection?<br />
In most cases, this is a reaction to the stitch and<br />
not a true infection.<br />
<br />
<br />
Bath in the tub twice a day.<br />
If pain, redness or swelling occurs, call your<br />
Urologist for advice or a check-u[ check u[
What are the Signs of Infection?<br />
Increasing Pain<br />
Increasing Redness<br />
Increasing Swelling<br />
Pus or foul drainage<br />
Fever<br />
Call Your Urologist<br />
if you think you may have<br />
an infection.<br />
In most cases, antibiotics alone are needed.
What are the Risks of <strong>Circumcision</strong><br />
Infection<br />
Cosmetic problems and scarring<br />
Pain or hypersensitivity<br />
Change in sexual sensation<br />
Bleeding<br />
Anesthesia complications ( especially if<br />
done with general anesthesia
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